Female

Samantha Tetzlaff MS

Mental Health Counselor in Madison, WI(View on Map)

Full Name

Samantha Tetzlaff MS

NPI Number

1043783624

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/07/2019

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

8199-125

Contact
Information

Purpose

Mailing
Location

Address

211 S PATERSON ST STE 370
211 S PATERSON ST STE 370

City

Madison
Madison

State

WI
WI

Postal Code

53703-4501
53703-4501

Country

US
US

Telephone Number

N/A
(608) 535-1095

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/11/2021

Provider Address

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